Approach G50792Recalls & reported problems
Cook Incorporated · Approach, CTO-18 Micro Wire Guide · Class 2
All models of Approach (11)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
2 open recalls name this device. See the recall details and contact the manufacturer or your healthcare provider.
- Adverse event reports
- 7
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 2
Summary
The FDA's MAUDE database contains 7 adverse event reports that list this exact device (DI 00827002507920), received between Jul 25, 2016 and Nov 1, 2023 — classified as 1 injury, 6 malfunctions.
The most frequently reported specific device problem is “Unraveled Material” (2 reports).
2 FDA recall records name this device's identifier, 2 still open.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Recalls naming this device
- Mar 5, 2026Open, Classified
Products from the affected device lots were labeled with expiration dates that exceed the true shelf life.
Z-1777-2026 · Root cause: Incorrect or no expiration date · Recall details · FDA record ↗
- Oct 8, 2024Open, Classified
Affected device lots have labels that state the incorrect expiration dates.
Z-0346-2025 · Root cause: Labeling Change Control · Recall details · FDA record ↗
Most reported problems
Device problems
- Appropriate Device Problem Term/Code Not Available2
- Unraveled Material2
- Break1
- Difficult to Remove1
- Material Separation1
- Physical Resistance/Sticking1
- Sticking1
Patient problems
- No Known Impact Or Consequence To Patient4
- Foreign Body In Patient1
- No Clinical Signs, Symptoms or Conditions1
- No Consequences Or Impact To Patient1
Recent adverse event reports
The 7 most recent of 7 reports, in the reporter's own words as published by the FDA.
MalfunctionNov 1, 2023Break; Unraveled Material; Break; Unraveled Material
NO ADDITIONAL INFORMATION REGARDING THE PATIENT AND/OR EVENT HAS BEEN RECEIVED SINCE THE PREVIOUS MEDWATCH REPORT WAS SENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18049861 ↗InjuryOct 4, 2019Material Separation; Material Separation
NO ADDITIONAL INFORMATION REGARDING THE PATIENT AND/OR EVENT HAS BEEN RECEIVED SINCE THE PREVIOUS MEDWATCH REPORT WAS SENT.
Patient problems: Foreign Body In Patient
MAUDE report 9155779 ↗MalfunctionSep 20, 2018Unraveled Material; Physical Resistance/Sticking
IT WAS REPORTED THAT THE DISTAL TIP OF THE GUIDE WIRE WAS EXHIBITING RESISTANCE WHILE MOVING THROUGH THE CATHETER. THERE WERE NO INJURIES OR ADDITIONAL PROCEDURES REPORTED. IT WAS FURTHER CONFIRMED THAT THE TIP HAD BEGUN TO UNRAVEL.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 7895172 ↗MalfunctionAug 11, 2017Sticking; Sticking
IT WAS REPORTED THAT DURING A LOWER LEG ANGIOGRAM, AN APPROACH CTO MICROWIRE WIRE GUIDE BECAME STUCK IN THE CATHETER WHEN REMOVING. THE SAME PROBLEM WAS REPORTED WITH TWO OTHER WIRE GUIDES. EACH DEVICE IS BEING REPORTED AND DOCUMENTED IN THE FOLLOWING REPORT NUMBERS: 1820334-2017-02072, 1820334-2017-02073, 1820334-2017-02114, AND 1820334-2017-02115. A SECTION OF THE DEVICE DID NOT REMAIN INSIDE THE PATIENT¿S BODY. THE PATIENT DID NOT REQUIRE ANY ADDITIONAL PROCEDURES DUE TO THIS OCCURRENCE. ACCORDING TO THE INITIAL REPORTER, THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EFFECTS DUE TO THIS OCCURRENCE.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 6788791 ↗MalfunctionJun 2, 2017Difficult to Remove; Difficult to Remove
IT WAS REPORTED THAT DURING AN ANTEGRADE APPROACH TO DISTAL SUPERFICIAL FEMORAL ARTERY (SFA) /POPLITEAL CHRONIC TOTAL OCCLUSION (CTO) FOR REVASCULARIZATION WHILE USING A CTO MICROWIRE 25G WIRE GUIDE TO PUSH THROUGH THE CHRONIC TOTAL OCCLUSION, THAT WAS OBVIOUSLY SUBINTIMAL, THE PHYSICIAN COULD FEEL THE WIRE DRAGGING AND COULD SEE A DEFECT AT THE TIP OF THE WIRE WHEN IT WAS REMOVED. THE PHYSICIAN THEN MOVED TO 18G CTO WIRE AND NOTICED THE SAME FEELING. THE WIRE TIP DIDN'T APPEAR TO HAVE A DEFECT, BUT TISSUE/BLOOD WAS ON THE TIP. THERE WAS NO DAMAGE TO THE VESSEL REPORTED. NO SECTION OF THE DEVICE REMAINED INSIDE THE PATIENT'S BODY AND THE PATIENT DID NOT REQUIRE ANY ADDITIONAL PROCEDURES DUE TO THIS OCCURRENCE.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 6608314 ↗MalfunctionJul 26, 2016Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available
IT WAS REPORTED THAT DURING A REVASCULARIZATION OF A LOWER LEG PROCEDURE A SPINNER STRIPPED THE COATING FROM A WIRE. THE PHYSICIAN HAD ANTERIOR TIBIAL ARTERY ACCESS AS WELL AS COMMON FEMORAL ACCESS CONTRALATERAL. THE PHYSICIAN ATTEMPTED TO CROSS A CHRONIC TOTAL OCCLUSION (CTO) AT THE AREA OF THE DISTAL POPLITEAL ANTERIOR TIBIAL VESSEL. THE PHYSICIAN WAS USING THE WIRE THROUGH A CATHETER AND WAS USING A SPINNER TORQUE DEVICE. THE SPINNER WAS BEING USED TO SPIN THE WIRE IN ORDER TO CROSS THE CTO. THIS WAS NOT SUCCESSFUL. WHEN THE WIRE WAS REMOVED IT WAS NOTICED THAT THERE WAS SOMETHING ON THE TIP OF THE WIRE. THE MATTER ON THE TIP OF THE WIRE WAS THE COATING OF THE WIRE THAT THE SPINNER HAD STRIPPED OFF. IT DID NOT APPEAR THAT ANY WIRE COATING BECAME FREE INSIDE OF THE PATIENT. THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EFFECTS DUE TO THIS OCCURRENCE.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 5822683 ↗MalfunctionJul 25, 2016Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available
IT WAS REPORTED THAT DURING A REVASCULARIZATION OF A LOWER LEG PROCEDURE A SPINNER STRIPPED THE COATING FROM A WIRE. THE PHYSICIAN HAD ANTERIOR TIBIAL ARTERY ACCESS AS WELL AS COMMON FEMORAL ACCESS CONTRALATERAL. THE PHYSICIAN ATTEMPTED TO CROSS A CHRONIC TOTAL OCCLUSION (CTO) AT THE AREA OF THE DISTAL POPLITEAL ANTERIOR TIBIAL VESSEL. THE PHYSICIAN WAS USING THE WIRE THROUGH A CATHETER AND WAS USING A SPINNER TORQUE DEVICE. THE SPINNER WAS BEING USED TO SPIN THE WIRE IN ORDER TO CROSS THE CTO. THIS WAS NOT SUCCESSFUL. WHEN THE WIRE WAS REMOVED IT WAS NOTICED THAT THERE WAS SOMETHING ON THE TIP OF THE WIRE. THE MATTER ON THE TIP OF THE WIRE WAS THE COATING OF THE WIRE THAT THE SPINNER HAD STRIPPED OFF. IT DID NOT APPEAR THAT ANY WIRE COATING BECAME FREE INSIDE OF THE PATIENT. THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EFFECTS DUE TO THIS OCCURRENCE.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 5818730 ↗
Other Catheter for crossing total occlusions devices
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- Approach G50791Cook Incorporated · Catheter for crossing total occlusions2 recalls15 reports
- Approach G50787Cook Incorporated · Catheter for crossing total occlusions2 recalls2 reports
- Approach G50786Cook Incorporated · Catheter for crossing total occlusions2 recalls1 report
- Approach G50788Cook Incorporated · Catheter for crossing total occlusions2 recalls1 report
- Approach G50789Cook Incorporated · Catheter for crossing total occlusions2 recalls0 reports
- OUTBACK OTB59120ACordis US Corp. · Catheter for crossing total occlusions82 reports
- Approach G50793Cook Incorporated · Catheter for crossing total occlusions1 recall17 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026 · each recall links to the FDA recall notice
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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